{"id":16547,"date":"2021-01-05T01:25:14","date_gmt":"2021-01-04T22:25:14","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/yogun-bakim-unitesinde-yatan-hastalarda-ventilatorle-iliskili-pnomoni-gelismesine-etki-eden-risk-faktorleri\/"},"modified":"2021-01-05T01:25:14","modified_gmt":"2021-01-04T22:25:14","slug":"yogun-bakim-unitesinde-yatan-hastalarda-ventilatorle-iliskili-pnomoni-gelismesine-etki-eden-risk-faktorleri","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/yogun-bakim-unitesinde-yatan-hastalarda-ventilatorle-iliskili-pnomoni-gelismesine-etki-eden-risk-faktorleri\/","title":{"rendered":"Yo\u011fun Bak\u0131m \u00dcnitesinde Yatan Hastalarda Ventilat\u00f6rle \u0130li\u015fkili Pn\u00f6moni Geli\u015fmesine Etki Eden Risk Fakt\u00f6rleri"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada medikal yo\u011fun bak\u0131m \u00fcnitelerinde ventilat\u00f6rle ili\u015fkili pn\u00f6moni (V\u0130P) geli\u015fmesine etki eden risk fakt\u00f6rlerinin saptanmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: 16 ya\u015f ve \u00fczeri, 48 saatten fazla mekanik ventilat\u00f6re ba\u011fl\u0131 kalan, ilk yat\u0131\u015fta akci\u011fer infeksiyonu olmayan hastalar \u00e7al\u0131\u015fmaya al\u0131nd\u0131. \u0130statistiksel analizler i\u00e7in STATA 9.0\u00ae (College Station, TX, USA) bilgisayar program\u0131 kullan\u0131ld\u0131. Sonu\u00e7lardan \u00a0p de\u011feri &lt;0.05 olanlar anlaml\u0131 kabul edildi.<\/p>\n<p> <strong>Bulgular<\/strong>: 142 hasta \u00e7al\u0131\u015fmaya al\u0131nd\u0131. Hastalar\u0131n 64 (%45.1)\u2019\u00fcnde V\u0130P geli\u015fti. 1000 ventilasyon g\u00fcn\u00fc i\u00e7in V\u0130P h\u0131z\u0131 23.3 idi. \u00c7al\u0131\u015fmada int\u00fcbasyon ve mekanik ventilasyon s\u00fcresinin uzamas\u0131 (p&lt;0.001), hastanede (p&lt;0.001) ve yo\u011fun bak\u0131mda yat\u0131\u015f\u0131n uzamas\u0131 (p&lt;0.001), APACHE II skorunun y\u00fcksekli\u011fi (p&lt;0.001), kan transf\u00fczyonu (p&lt;0.001), enteral beslenme (p=0.025), \u00fcriner infeksiyon (p&lt;0.001), yara infeksiyonu (p=0.045), en az bir b\u00f6lgede infeksiyon varl\u0131\u011f\u0131 (p&lt;0.001), kronik obstr\u00fcktif akci\u011fer hastal\u0131\u011f\u0131 (KOAH) (p=0.003), diabetes mellitus (DM) (p&lt;0.001), \u00f6nceki antibiyotik kullan\u0131m\u0131 (p=0.003), trakeostomi a\u00e7\u0131lmas\u0131 (p=0.003) ve santral kateter varl\u0131\u011f\u0131 (p&lt;0.001) V\u0130P geli\u015fmesi i\u00e7in risk fakt\u00f6r\u00fc olarak saptand\u0131. Lojistik regresyon analizinde int\u00fcbasyon s\u00fcresinin uzamas\u0131 (p=0.015), APACHE II skorunun y\u00fcksekli\u011fi (p=0.001), kan transf\u00fczyonu (p=0.015), KOAH (p=0.036), DM (p=0.019) ve santral kateter varl\u0131\u011f\u0131 (p&lt;0.001) ba\u011f\u0131ms\u0131z risk fakt\u00f6rleri olarak tespit edildi.\u00a0<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: V\u0130P i\u00e7in tan\u0131mlanm\u0131\u015f risk fakt\u00f6rlerinin bilinip, V\u0130P\u2019in \u00f6nlenmesi i\u00e7in etkin infeksiyon kontrol programlar\u0131n\u0131n uygulanmas\u0131, her \u00fcnitede s\u00fcrveyans sonu\u00e7lar\u0131n\u0131n d\u00fczenli olarak de\u011ferlendirilmesi ve uygun tedbirlerin al\u0131nmas\u0131 gerekir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmada medikal yo\u011fun bak\u0131m \u00fcnitelerinde ventilat\u00f6rle ili\u015fkili pn\u00f6moni (V\u0130P) geli\u015fmesine etki eden risk fakt\u00f6rlerinin saptanmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: 16 ya\u015f ve \u00fczeri, 48 saatten fazla mekanik ventilat\u00f6re ba\u011fl\u0131 kalan, ilk yat\u0131\u015fta akci\u011fer infeksiyonu olmayan hastalar \u00e7al\u0131\u015fmaya al\u0131nd\u0131. \u0130statistiksel analizler i\u00e7in STATA 9.0\u00ae (College Station, TX, USA) bilgisayar program\u0131 kullan\u0131ld\u0131. Sonu\u00e7lardan \u00a0p de\u011feri &lt;0.05 [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[3474,2620,3767],"class_list":["post-16547","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-risk-faktorleri","tag-ventilatorle-iliskili-pnomoni","tag-yogun-bakim-unitesi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16547","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=16547"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16547\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=16547"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=16547"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=16547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}